Organization
TUG VALLEY DIGESTIVE DISORDER CENTER INC
Active
Organization
TUG VALLEY DIGESTIVE DISORDER CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE A CORTAS MDS RACC (MD OWNER OF PRACTICE)
(304) 235-3590
Entity
Organization
Contact information
Practice address
215 LOGAN ST, STE 42, WILLIAMSON, WV 25661
(304) 235-3590
(304) 235-3592
Mailing address
215 LOGAN ST, STE 42, WILLIAMSON, WV 41514
(304) 235-3590
(304) 235-3592
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19129
WV
207RG0100X
Gastroenterology Physician
34274
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088462000
—
WV
05
—
64942030
—
KY
Enumeration date
03/24/2006
Last updated
08/22/2020
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